Provider Demographics
NPI:1013987072
Name:KHAN, HABIB U (MD)
Entity type:Individual
Prefix:DR
First Name:HABIB
Middle Name:U
Last Name:KHAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 11225
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85230-1225
Mailing Address - Country:US
Mailing Address - Phone:520-423-2046
Mailing Address - Fax:520-423-0208
Practice Address - Street 1:1653 E MCMURRAY BLVD
Practice Address - Street 2:SUITE 139
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85222-2023
Practice Address - Country:US
Practice Address - Phone:520-423-2046
Practice Address - Fax:520-423-0208
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2020-04-16
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Provider Licenses
StateLicense IDTaxonomies
AZ279152084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology